| Organization Name: | FLATHEAD FAMILY FOOT CARE PC |
| NPI Number: | 1518327261 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT CLASE (PRESIDENT) |
| Mailing Address: | 715 Nucleus Ave Columbia Falls |
| State: | MT US |
| Postal Code: | 599124015 |
| Phone Number: | 4067303669 |
| Fax Number: | 4067303667 |
| NPI Enumeration Date: | 02/23/2016 |
| NPI Last Update Date: | 06/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25643 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |